Volume 2014, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426


Gossypiboma, a retained surgical sponge, is a rare complication following any surgical procedure and is primarily a result of human error. Such patients often have vague clinical presentations and the diagnosis often comes as a surprise. We present the case of a 40-year-old woman who had a long-standing history of lower abdominal discomfort. She was diagnosed with a gossypiboma fifteen years after a cesarean section. All general physicians, surgeons and radiologists must be aware of this rare but clinically significant entity.


Article metrics loading...

Loading full text...

Full text loading...



  1. Yildirim S, Tarim A, Nursal TZ, Yildrim T, Caliskan K, Torer N, Karagulle E, Noyan T, Moray G, Haberal M. Retained surgical sponge (gossypiboma) after intraabdominal or retroperitoneal surgery: 14 cases treated at a single center. Langenbecks Arch Surg. 2006; 391::390395.
    [Google Scholar]
  2. Wilson CP. Foreign bodies left in the abdomen after laparotomy. Gynecol Tr. 1884; 9::109112.
    [Google Scholar]
  3. Christian CK, Gustafson ML, Roth EM, Sheridan TB, Gandhi TK, Dwyer K, Zinner MJ, Dierks MM. A prospective study of patient safety in the operating room. Surgery 2006; 139::159173.
    [Google Scholar]
  4. Wan W, Le T, Riskin L, Macario A. Improving safety in the operating room: a systematic literature review of retained surgical sponges. Curr Opin Anesthesiol. 2009; 22::207214.
    [Google Scholar]
  5. Hyslop JW, Maull KI. Natural history of the retained surgical sponge. South Med J. 1982; 75::657660.
    [Google Scholar]
  6. Gawande AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003; 348::229235.
    [Google Scholar]
  7. Greenberg CC, Regenbogen SE, Lipsitz SR, Diaz-Flores R, Gawande AA. The frequency and significance of discrepancies in the surgical count. Ann Surg. 2008; 248::337341.
    [Google Scholar]
  8. Bani-Hani KE, Gharaibeh KA, Yagha RJ. Retained surgical sponges (gossypiboma). Asian J Surg. 2005; 28::109115.
    [Google Scholar]
  9. Cevik I, Dillioglugil O, Ozveri H, Akdas A. Asymptomatic retained surgical gauze towel diagnosed 32 years after nephrectomy. Int Urol Nephrol. 2008;  40::885888.
    [Google Scholar]
  10. Choi JW, Lee CH, Kim KA, Park CM, Kim JY. Transmural migration of surgical sponge evacuated by defecation: mimicking an intraperitoneal gossypiboma. Korean J Radiol. 2006; 7::212214.
    [Google Scholar]

Data & Media loading...


Supplementary File 1

  • Article Type: Case Report
Keyword(s): gossypibomamedical errorsretained surgical sponge and textiloma
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error